see also:

• Mx of status epilepticus
• seizures in children
• fever - the febrile response to infections
• febrile child
• RCH clinical guidelines - Mx of febrile convulsions

• RCH - seizures - safety issues and how to help (pdf)
• RCH - febrile convulsions (pdf)
• RCH - intranasal midazolam (pdf)
• RCH - buccal midazolam (pdf)

• temperature > 38.5 deg. C and age 6mths - 5yrs, especially if:
  • duration < 10min
  • generalised tonic/clonic seizure
  • PH febrile convulsion
  • no PH of epilepsy

• absence of fever
• younger than 6 mths or older than 5 yrs
• PH epilepsy - prolonged seizure > 10min
• persisting irritability, confusion or decreased mental state
• multiple seizures
• focal seizure or absence seizure
• focal abnormal neurologic features preceding or following seizure
• suspicion of meningitis:
  • irritability, lethargy, photophobia, neck stiffness, fever < 6mths, bulging fontanelle
  • purpuric rash
• history of ingestion or head injury
• evidence of metabolic disturbance such as hypoglycaemia, hypoNa, hypoCa, hypoMg